Developing a State-of-the-art Web Site to Teach Population-based Care Partnerships for Quality Education Henry Ford Health...
Outline  <ul><li>Background of our project </li></ul><ul><ul><li>COPC framework for population management </li></ul></ul><...
The New “Community Medicine” <ul><li>Multiple providers and sites </li></ul><ul><li>Multiple institutions </li></ul><ul><l...
Our Goal…. To provide members of the  health care team  with the skills and tools necessary to  prioritize  and reduce  he...
Community Medicine Curriculum <ul><li>Health care (population) Epidemiology </li></ul><ul><li>Informatics </li></ul><ul><l...
COPC Model - Framework for Population Management Steps of COPC Stages of development
 
COPC Model - Framework for Population Management Steps of COPC Stages of development
Information System for Population Health
Example of Application of COPC Model - Management of Diabetes
 
Necessary Requirements for Advancing in COPC Framework <ul><li>Data </li></ul><ul><li>Analytic tools </li></ul><ul><li>Ski...
Data <ul><li>Community level </li></ul><ul><ul><li>Census </li></ul></ul><ul><ul><li>National, state and local level healt...
Detroit Catchment Areas
 
Data <ul><li>Patient level </li></ul><ul><ul><li>Population </li></ul></ul><ul><ul><li>Utilization care patterns </li></ul...
Patient Panel - Age and Gender Distribution % of pts
Patient Panel -  Utilization of Services, 1998 encounters per 1000 pts.
Patient Panel - Prevalence Rates of Selected Dx, Adults <ul><ul><li>rate/100 </li></ul></ul>
Patient Panel - Average Charges for Patients With Selected Dx, Adults $
Diabetes Registry - Population Definition 1696 Panel pts. with 2 or more DM  encounters between 1-1-96 and 6-30-98 711 - 9...
Diabetes Registry - Age and Gender Distribution # of pts.
Diabetes Registry - HA1C Testing Patterns  Within Past Year  # of pts .
Diabetes Registry - HA1C Control  (at Last Test) # of pts.
Self-reported Family History of Health Problems % of response
Analytic Tools <ul><li>Data management software </li></ul><ul><li>Analytic software </li></ul>
Learning to Use MS Access Linking Tables in a Query
Learning to Use Epi Info
Skills <ul><li>Analytic/research </li></ul><ul><ul><li>Research design </li></ul></ul><ul><ul><li>Measurement </li></ul></...
Intro to Epi Principles Fundamental Assumptions
Where Are You? Professional Expertise Technical Capacity Low  Medium  High Low  Medium  High
Question #1: What Is the Level of Sophistication of the End-user(s)? 0  5  10 Can’t find “ON” button Basic skills in Windo...
Question #2: How Many Dollars Are Available to This Project? 0  5  10 Shareware  until I win the lottery Webmaster,  serve...
Question #3: What Hardware Is Currently Available for Web Development and Hosting? 0  5  10 486 processor Windows 3.11 Int...
Question #4: What Hardware Is Available to the User(s)? 0  5  10 PC modem Web browser Sound and graphics cards, Pentium/ P...
Question #5: What Expertise Does Developer Have? 0  5  10 My cousin is  a computer nerd Can use commercial web-authoring &...
Question #6:how Accessible Is Data? 0  5  10 Paper reports, summaries Billing & encounter database Specific enumeration of...
Question #7: How “Relational” Is Existing Data? 0  5  10 No common identifier Compatible formats, programmed links Downloa...
Question #8: How Capable Are You for “Interactivity”? 0  5  10 Users can read Navigational, (can include links, hotspots, ...
Question #9: How Capable Are You for “Multimedia”? 0  5  10 Can paste clip art & photos Video clips, animation sound clips...
Question #10: What Capability Exists to Maintain and Work With Databases? 0  5  10 Can read and interpret summary data Acq...
Question #11: What Is Available for Communication? 0  5  10 E-mail Client server applications, customized for real-time sh...
Where Are You? Professional Expertise Technical Capacity Low  Medium  High Low  Medium  High
Where Are You? Professional Expertise Technical Capacity Low  Medium  High Low  Medium  High This box represents the chart...
What Is a Web Site? <ul><li>It is a location on the world wide web made up of web pages that use the internet as their tra...
What Is a Web-based Teaching  Web Site? <ul><ul><li>It is a teaching program that is delivered over the internet or intran...
Where Is a Web-based Teaching  Web Site Delivered? <ul><ul><li>To any computer that can access the internet or intranet. T...
Types of Web-based Teaching  Web Sites <ul><li>Plain text and graphics. </li></ul><ul><li>Interactive.  </li></ul><ul><li>...
Plain Text and Graphics Example of a text and graphic web-based teaching web site
Characteristics <ul><li>These are like paper-based course material placed on the web and accessed in electronic format. </...
Characteristics (Continued) <ul><li>Might be an appropriate solution for a given need. </li></ul><ul><li>Provides a lower ...
Interactive <ul><li>Sample Sites: </li></ul><ul><ul><li>Calendar </li></ul></ul><ul><ul><li>Quiz </li></ul></ul><ul><li>Sa...
Characteristics <ul><li>Interactivity is the means by which people learn, by having their brain engaged and interacting wi...
Characteristics (Continued) <ul><li>Interactivity allows the instructor to ensure learning is taking place, track a user’s...
Interactive Multimedia Example of an interactive multimedia web-based teaching web site
Characteristics <ul><li>Elements of multimedia are added to enhance and upgrade the learning environment. </li></ul><ul><l...
Characteristics (Continued) <ul><li>The more engaging nature of multimedia has been a hit in the CBIT market. </li></ul><u...
Characteristics (Continued) <ul><li>The web is following close behind with improved bandwidths, and is a major improvement...
Characteristics (Continued) <ul><li>Although Java applets can be built to manage the high levels of interactivity, most au...
Advantages of Web-based  Teaching Web Sites <ul><li>Widely available connections and browsers. </li></ul><ul><li>Flexible,...
Other Technologies Used  for Teaching <ul><li>Computer-Based Interactive Teaching (CBIT). </li></ul><ul><li>Distance learn...
Why Use Web-based  Teaching Web Sites <ul><li>Need for less expensive ways to deliver teaching. </li></ul><ul><li>New dema...
Is It Worth Investing in Web-based Teaching Web Sites? <ul><ul><li>Yes . The web can provide the most efficient delivery o...
Factors Determining Whether  Web-based Teaching Is Right  for Your Organization. <ul><li>Management support. </li></ul><ul...
Some Criteria Used in Evaluating Web-based Teaching. <ul><li>Contents. </li></ul><ul><li>Instructional design. </li></ul><...
Web Site Design Considerations
Web Site Design Considerations <ul><li>Skill Level of your audience. </li></ul><ul><li>Equipment of your audience. </li></...
Skill Level of Your Audience <ul><li>Who is your audience? </li></ul><ul><li>What is their knowledge level of your topic? ...
Equipment of Your Audience <ul><li>What type of computers are they using? </li></ul><ul><li>What operating systems are the...
Content of Your Web Site <ul><li>Lectures . </li></ul><ul><li>Tutorials . </li></ul><ul><li>Education and population manag...
Cost of Your Web Site <ul><li>Cost of developing a web site is completely variable. You can spend as little or as much as ...
Planning Your Web Site <ul><li>Develop an overview of your web site. </li></ul><ul><li>Develop a plan with incremental ste...
Planning of the Web Site
Web Site Design Considerations Conclusions Balance your design between information, equipment, and audience.
Components Required for Web Site Design and Generation
Hardware Needed for Design ( Click Here to See a List of Products ) <ul><li>Computer. </li></ul><ul><li>Internet connectio...
Software Needed for Design   (Click Here to See a List of Products) <ul><li>Web page design program. </li></ul><ul><li>FTP...
Design and Development Team <ul><li>Project manager. </li></ul><ul><li>Web page designer. </li></ul><ul><li>Graphics desig...
Design and Development Team <ul><li>Actually, you team will be made up of however many people you can afford. This could b...
Hosting Your Web Site
Hosting Your Web Site <ul><li>Using a free site. </li></ul><ul><li>Using your own computer. </li></ul><ul><li>Using your c...
Using a Free Site <ul><li>Advantages: </li></ul><ul><ul><li>No hosting costs. </li></ul></ul><ul><li>Disadvantages: </li><...
Using Your Own Computer <ul><li>Advantages: </li></ul><ul><ul><li>You can do what you want. </li></ul></ul><ul><ul><li>Eas...
Using Your Company’s Information System Platform <ul><li>Advantages: </li></ul><ul><ul><li>Little or no cost. </li></ul></...
Using a Commercial Host <ul><li>Advantages: </li></ul><ul><ul><li>You have good control. </li></ul></ul><ul><ul><li>Normal...
Using Your Own Server <ul><li>Advantages: </li></ul><ul><ul><li>You can do what you want. </li></ul></ul><ul><ul><li>Easy ...
Registering Your Web Site <ul><li>By registering your web site (at  www. networksolutions .com ), you can have a domain na...
Delivering Data on the Web Site
Delivering Data on the Web Site <ul><li>Common identifiers. </li></ul><ul><li>Kinds of data. </li></ul><ul><li>Security is...
Common Identifiers <ul><li>Need to develop or use a set of common identifiers for the data. </li></ul><ul><ul><li>At Henry...
Kinds of Data <ul><li>Community level. </li></ul><ul><li>Encounter level. </li></ul><ul><li>Patient level. </li></ul><ul><...
Community Level Data
Encounter Level Data
Patient Level Data
Summary Data
Security Issues <ul><li>Protect your web pages from being changed. </li></ul><ul><ul><li>Turn on security and set good pas...
Hardware Needs   (Click Here to See a List of Products) <ul><li>Server. </li></ul><ul><li>Internet connection with a minim...
Software Needs <ul><li>Web Serving software. </li></ul><ul><li>Database engine. </li></ul><ul><li>Scripting language. </li...
Updating Databases <ul><li>It is possible to work on a “live” database where the data is added as patients are seen. </li>...
Querying <ul><li>Levels of capacity. </li></ul><ul><ul><li>Program’s normal query, customized queries. </li></ul></ul><ul>...
Customized Query Form
Querying <ul><li>Levels of capacity. </li></ul><ul><ul><li>Program’s normal query, customized queries. </li></ul></ul><ul>...
In Summation
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Rational - Why did we develop a web site?

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Rational - Why did we develop a web site?

  1. 1. Developing a State-of-the-art Web Site to Teach Population-based Care Partnerships for Quality Education Henry Ford Health System, Dept. of Family Practice Susan Schooley, MD Lois Lamerato Roger Tuttleman Farouk Rassam
  2. 2. Outline <ul><li>Background of our project </li></ul><ul><ul><li>COPC framework for population management </li></ul></ul><ul><ul><li>Applying COPC framework to “at risk” population </li></ul></ul><ul><li>“ Web Readiness” exercise </li></ul><ul><li>Website development </li></ul><ul><ul><li>Advantages of web-based technology </li></ul></ul><ul><ul><li>Web site basics </li></ul></ul><ul><li>Web site teaching </li></ul><ul><li>Building a web site </li></ul><ul><ul><li>Design considerations </li></ul></ul><ul><ul><li>Components </li></ul></ul><ul><ul><li>Hosting </li></ul></ul><ul><ul><li>Data on web sites </li></ul></ul>
  3. 3. The New “Community Medicine” <ul><li>Multiple providers and sites </li></ul><ul><li>Multiple institutions </li></ul><ul><li>Managed care </li></ul><ul><ul><li>data driven </li></ul></ul><ul><ul><li>resource stewardship </li></ul></ul><ul><li>Population health curriculum </li></ul><ul><li>Health status goals </li></ul>
  4. 4. Our Goal…. To provide members of the health care team with the skills and tools necessary to prioritize and reduce health risks and improve health outcomes in their population of patients. Physicians, nurses, case managers Resource utilization Prevention Defined community
  5. 5. Community Medicine Curriculum <ul><li>Health care (population) Epidemiology </li></ul><ul><li>Informatics </li></ul><ul><li>Risk assessment & behavior change </li></ul><ul><li>Community resources </li></ul><ul><li>Applied “COPC” projects </li></ul><ul><li>Multidisciplinary learners, faculty </li></ul><ul><li>Multiple clinical contexts </li></ul>
  6. 6. COPC Model - Framework for Population Management Steps of COPC Stages of development
  7. 8. COPC Model - Framework for Population Management Steps of COPC Stages of development
  8. 9. Information System for Population Health
  9. 10. Example of Application of COPC Model - Management of Diabetes
  10. 12. Necessary Requirements for Advancing in COPC Framework <ul><li>Data </li></ul><ul><li>Analytic tools </li></ul><ul><li>Skills </li></ul>
  11. 13. Data <ul><li>Community level </li></ul><ul><ul><li>Census </li></ul></ul><ul><ul><li>National, state and local level health data </li></ul></ul>
  12. 14. Detroit Catchment Areas
  13. 16. Data <ul><li>Patient level </li></ul><ul><ul><li>Population </li></ul></ul><ul><ul><li>Utilization care patterns </li></ul></ul><ul><ul><li>Illness patterns </li></ul></ul><ul><ul><li>Clinical patterns </li></ul></ul><ul><ul><li>Risk factors </li></ul></ul>
  14. 17. Patient Panel - Age and Gender Distribution % of pts
  15. 18. Patient Panel - Utilization of Services, 1998 encounters per 1000 pts.
  16. 19. Patient Panel - Prevalence Rates of Selected Dx, Adults <ul><ul><li>rate/100 </li></ul></ul>
  17. 20. Patient Panel - Average Charges for Patients With Selected Dx, Adults $
  18. 21. Diabetes Registry - Population Definition 1696 Panel pts. with 2 or more DM encounters between 1-1-96 and 6-30-98 711 - 985 patients with DM visits since 7-1-98 - 427 pts with non-DM PC visits since 7-1-98 284 “ At risk” population
  19. 22. Diabetes Registry - Age and Gender Distribution # of pts.
  20. 23. Diabetes Registry - HA1C Testing Patterns Within Past Year # of pts .
  21. 24. Diabetes Registry - HA1C Control (at Last Test) # of pts.
  22. 25. Self-reported Family History of Health Problems % of response
  23. 26. Analytic Tools <ul><li>Data management software </li></ul><ul><li>Analytic software </li></ul>
  24. 27. Learning to Use MS Access Linking Tables in a Query
  25. 28. Learning to Use Epi Info
  26. 29. Skills <ul><li>Analytic/research </li></ul><ul><ul><li>Research design </li></ul></ul><ul><ul><li>Measurement </li></ul></ul><ul><ul><li>Literature searching </li></ul></ul><ul><li>Clinical </li></ul>
  27. 30. Intro to Epi Principles Fundamental Assumptions
  28. 31. Where Are You? Professional Expertise Technical Capacity Low Medium High Low Medium High
  29. 32. Question #1: What Is the Level of Sophistication of the End-user(s)? 0 5 10 Can’t find “ON” button Basic skills in Windows, Web, common office software Programmed missiles in Kuwait
  30. 33. Question #2: How Many Dollars Are Available to This Project? 0 5 10 Shareware until I win the lottery Webmaster, server, etc. Existing hardware, one person team
  31. 34. Question #3: What Hardware Is Currently Available for Web Development and Hosting? 0 5 10 486 processor Windows 3.11 Internet connections, modem (56K/sec) Server, T-1 connection, (1.5MB/sec)
  32. 35. Question #4: What Hardware Is Available to the User(s)? 0 5 10 PC modem Web browser Sound and graphics cards, Pentium/ Power PC 225Mhz, fast internet connections, plug-ins, Java capable browser
  33. 36. Question #5: What Expertise Does Developer Have? 0 5 10 My cousin is a computer nerd Can use commercial web-authoring & mgmt. tools Professional developer/ programmer
  34. 37. Question #6:how Accessible Is Data? 0 5 10 Paper reports, summaries Billing & encounter database Specific enumeration of population (clinical, demographic, risk), dynamic real-time updates
  35. 38. Question #7: How “Relational” Is Existing Data? 0 5 10 No common identifier Compatible formats, programmed links Download and import capability
  36. 39. Question #8: How Capable Are You for “Interactivity”? 0 5 10 Users can read Navigational, (can include links, hotspots, arrows) Java, dynamic HTML programming
  37. 40. Question #9: How Capable Are You for “Multimedia”? 0 5 10 Can paste clip art & photos Video clips, animation sound clips Holographic companion with alternative scenarios responsive to personal preferences
  38. 41. Question #10: What Capability Exists to Maintain and Work With Databases? 0 5 10 Can read and interpret summary data Acquainted with query functions in commercial database software Custom design new interfaces for unsophisticated users
  39. 42. Question #11: What Is Available for Communication? 0 5 10 E-mail Client server applications, customized for real-time shared work sessions Electronic discussion groups
  40. 43. Where Are You? Professional Expertise Technical Capacity Low Medium High Low Medium High
  41. 44. Where Are You? Professional Expertise Technical Capacity Low Medium High Low Medium High This box represents the chart here and will appear on other pages.
  42. 45. What Is a Web Site? <ul><li>It is a location on the world wide web made up of web pages that use the internet as their transport mechanism. These pages can contain text, graphics, audio, video, and other dynamic and static materials. </li></ul>
  43. 46. What Is a Web-based Teaching Web Site? <ul><ul><li>It is a teaching program that is delivered over the internet or intranet. The program is accessed using a web browser, such as Microsoft Internet Explorer or Netscape Navigator. </li></ul></ul>
  44. 47. Where Is a Web-based Teaching Web Site Delivered? <ul><ul><li>To any computer that can access the internet or intranet. This includes a computer at work, on the road, and at home. </li></ul></ul>
  45. 48. Types of Web-based Teaching Web Sites <ul><li>Plain text and graphics. </li></ul><ul><li>Interactive. </li></ul><ul><li>Interactive multimedia. </li></ul>
  46. 49. Plain Text and Graphics Example of a text and graphic web-based teaching web site
  47. 50. Characteristics <ul><li>These are like paper-based course material placed on the web and accessed in electronic format. </li></ul><ul><li>You select items by clicking the forward or backward arrow, a hyperlink, or a graphic hot spot. </li></ul><ul><li>Many contain hyperlinks to other related web sites. </li></ul>
  48. 51. Characteristics (Continued) <ul><li>Might be an appropriate solution for a given need. </li></ul><ul><li>Provides a lower level of interactivity, although not necessarily a low level of information. </li></ul><ul><li>This is the model many people start with creating web sites. </li></ul>
  49. 52. Interactive <ul><li>Sample Sites: </li></ul><ul><ul><li>Calendar </li></ul></ul><ul><ul><li>Quiz </li></ul></ul><ul><li>Sample Interactive web site: </li></ul><ul><ul><li>Example </li></ul></ul>
  50. 53. Characteristics <ul><li>Interactivity is the means by which people learn, by having their brain engaged and interacting with the contents. </li></ul><ul><li>Use of good interactivity can enhance the learning experience provided by teaching programs. </li></ul><ul><li>Ensure that the users respond to the contents and do not just read their way through successive information screens. </li></ul>
  51. 54. Characteristics (Continued) <ul><li>Interactivity allows the instructor to ensure learning is taking place, track a user’s progress, provide remedial strategies, and, by tracking responses, gain understanding about the success of the teaching program. </li></ul>
  52. 55. Interactive Multimedia Example of an interactive multimedia web-based teaching web site
  53. 56. Characteristics <ul><li>Elements of multimedia are added to enhance and upgrade the learning environment. </li></ul><ul><li>Video, sound, animation, and graphics encourage users to learn with more of their senses than just the eyes. </li></ul><ul><li>Opens the way for conversion of video-delivered teaching courses to a web-based format which improves the convenience of distribution for these materials. </li></ul>
  54. 57. Characteristics (Continued) <ul><li>The more engaging nature of multimedia has been a hit in the CBIT market. </li></ul><ul><li>Interactive multimedia teaching programs are usually realized with CD-ROM technology, which allows the large audio and video files to be stored on a CD and presented nicely on the computer screen, without the wait times of the internet. </li></ul>
  55. 58. Characteristics (Continued) <ul><li>The web is following close behind with improved bandwidths, and is a major improvement on the CD-ROM format in terms of ease of update. </li></ul><ul><li>The interactive multimedia type of web-based teaching programs are usually authored with a software tool that allows the programming of multimedia and managing the high levels of interactivity. </li></ul>
  56. 59. Characteristics (Continued) <ul><li>Although Java applets can be built to manage the high levels of interactivity, most authors prefer full scale authoring tools, such as Authorware which has plug-ins for delivery over the internet. </li></ul>
  57. 60. Advantages of Web-based Teaching Web Sites <ul><li>Widely available connections and browsers. </li></ul><ul><li>Flexible, accessible, convenient. </li></ul><ul><li>Cost and time savings. </li></ul><ul><li>Inexpensive worldwide distribution. </li></ul><ul><li>Ease of updating. </li></ul><ul><li>Cross platform compatibility. </li></ul>
  58. 61. Other Technologies Used for Teaching <ul><li>Computer-Based Interactive Teaching (CBIT). </li></ul><ul><li>Distance learning. </li></ul><ul><li>Video conferencing. </li></ul><ul><li>Self-paced teaching. </li></ul>
  59. 62. Why Use Web-based Teaching Web Sites <ul><li>Need for less expensive ways to deliver teaching. </li></ul><ul><li>New demands in organizations. </li></ul><ul><li>Convenience for users. </li></ul><ul><li>Engaging nature of multimedia delivery. </li></ul><ul><li>Centralized nature of web-delivered teaching. </li></ul><ul><li>Very easy to update. </li></ul>
  60. 63. Is It Worth Investing in Web-based Teaching Web Sites? <ul><ul><li>Yes . The web can provide the most efficient delivery of information because of its ability to be accessible from anywhere, anytime, and to disseminate a standardized, updateable version to multiple users. </li></ul></ul>
  61. 64. Factors Determining Whether Web-based Teaching Is Right for Your Organization. <ul><li>Management support. </li></ul><ul><li>Potential users to justify the cost. </li></ul><ul><li>Users are computer literate. </li></ul><ul><li>Does the web-based teaching provide a method of instruction that is easier, faster, cheaper, or more engaging than the alternatives? </li></ul>
  62. 65. Some Criteria Used in Evaluating Web-based Teaching. <ul><li>Contents. </li></ul><ul><li>Instructional design. </li></ul><ul><li>Interactivity. </li></ul><ul><li>Navigation. </li></ul><ul><li>Use of multimedia. </li></ul><ul><li>Evaluation. </li></ul>
  63. 66. Web Site Design Considerations
  64. 67. Web Site Design Considerations <ul><li>Skill Level of your audience. </li></ul><ul><li>Equipment of your audience. </li></ul><ul><li>Content. </li></ul><ul><li>Cost. </li></ul><ul><li>Planning of the web site. </li></ul>
  65. 68. Skill Level of Your Audience <ul><li>Who is your audience? </li></ul><ul><li>What is their knowledge level of your topic? </li></ul><ul><li>What is their computer skills level? </li></ul>
  66. 69. Equipment of Your Audience <ul><li>What type of computers are they using? </li></ul><ul><li>What operating systems are they using? </li></ul><ul><li>What browsers are they using? </li></ul><ul><li>What are their sound and multimedia capability? </li></ul>
  67. 70. Content of Your Web Site <ul><li>Lectures . </li></ul><ul><li>Tutorials . </li></ul><ul><li>Education and population management . </li></ul><ul><li>Communications links (discussion groups). </li></ul><ul><li>Other links . </li></ul>
  68. 71. Cost of Your Web Site <ul><li>Cost of developing a web site is completely variable. You can spend as little or as much as you want. </li></ul>
  69. 72. Planning Your Web Site <ul><li>Develop an overview of your web site. </li></ul><ul><li>Develop a plan with incremental steps. </li></ul><ul><li>Reevaluate your site as each of the steps are completed. </li></ul><ul><li>Don’t be too rigid. Listen to your audience’s feedback. </li></ul>
  70. 73. Planning of the Web Site
  71. 74. Web Site Design Considerations Conclusions Balance your design between information, equipment, and audience.
  72. 75. Components Required for Web Site Design and Generation
  73. 76. Hardware Needed for Design ( Click Here to See a List of Products ) <ul><li>Computer. </li></ul><ul><li>Internet connection. </li></ul><ul><li>Scanner (optional). </li></ul><ul><li>Digital camera (optional). </li></ul>
  74. 77. Software Needed for Design (Click Here to See a List of Products) <ul><li>Web page design program. </li></ul><ul><li>FTP program. </li></ul><ul><li>Clip-art. </li></ul><ul><li>Graphics manipulation programs. </li></ul><ul><li>Multimedia programs. </li></ul><ul><li>Database. </li></ul><ul><li>Statistical analysis program. </li></ul>
  75. 78. Design and Development Team <ul><li>Project manager. </li></ul><ul><li>Web page designer. </li></ul><ul><li>Graphics designer. </li></ul><ul><li>Multimedia developer. </li></ul><ul><li>Script writer. </li></ul><ul><li>Database administrator. </li></ul><ul><li>Programmer. </li></ul><ul><li>Epidemiologist. </li></ul>
  76. 79. Design and Development Team <ul><li>Actually, you team will be made up of however many people you can afford. This could be a single person working part-time all the ways to a large budget interactive movie with professional actors and screen writers. </li></ul>
  77. 80. Hosting Your Web Site
  78. 81. Hosting Your Web Site <ul><li>Using a free site. </li></ul><ul><li>Using your own computer. </li></ul><ul><li>Using your company’s information system platform. </li></ul><ul><li>Using a commercial host. </li></ul><ul><li>Using your own web server. </li></ul><ul><li>Registering your web site. </li></ul>
  79. 82. Using a Free Site <ul><li>Advantages: </li></ul><ul><ul><li>No hosting costs. </li></ul></ul><ul><li>Disadvantages: </li></ul><ul><ul><li>Advertising on every page. </li></ul></ul><ul><ul><li>Typically slower access. </li></ul></ul><ul><ul><li>Little or no security. </li></ul></ul><ul><ul><li>“Funny” internet address. </li></ul></ul>
  80. 83. Using Your Own Computer <ul><li>Advantages: </li></ul><ul><ul><li>You can do what you want. </li></ul></ul><ul><ul><li>Easy to set up security. </li></ul></ul><ul><li>Disadvantages: </li></ul><ul><ul><li>Robs performance from your computer. </li></ul></ul><ul><ul><li>Must protect from internet attacks. </li></ul></ul><ul><ul><li>Must have a permanent IP address. </li></ul></ul><ul><ul><li>Takes up additional disk space. </li></ul></ul>
  81. 84. Using Your Company’s Information System Platform <ul><li>Advantages: </li></ul><ul><ul><li>Little or no cost. </li></ul></ul><ul><ul><li>May be fast (or possibly slow). </li></ul></ul><ul><li>Disadvantages: </li></ul><ul><ul><li>Politics. </li></ul></ul><ul><ul><li>Must have someone else set security. </li></ul></ul><ul><ul><li>Limitations on type of enhancements available (multimedia, databases, etc.). </li></ul></ul>
  82. 85. Using a Commercial Host <ul><li>Advantages: </li></ul><ul><ul><li>You have good control. </li></ul></ul><ul><ul><li>Normally pretty fast. </li></ul></ul><ul><ul><li>Free of politics. </li></ul></ul><ul><li>Disadvantages: </li></ul><ul><ul><li>Moderately expensive. </li></ul></ul><ul><ul><li>Harder to set up security. </li></ul></ul><ul><ul><li>More difficult getting started. </li></ul></ul>
  83. 86. Using Your Own Server <ul><li>Advantages: </li></ul><ul><ul><li>You can do what you want. </li></ul></ul><ul><ul><li>Easy to set up security. </li></ul></ul><ul><li>Disadvantages: </li></ul><ul><ul><li>Need a spare computer. </li></ul></ul><ul><ul><li>Must protect from internet attacks. </li></ul></ul><ul><ul><li>Must have a permanent IP address. </li></ul></ul><ul><ul><li>Must maintain computer. </li></ul></ul>
  84. 87. Registering Your Web Site <ul><li>By registering your web site (at www. networksolutions .com ), you can have a domain name like all the popular sites (e.g., www.microsoft.com). It cost $70 for the first 2 years plus a service fee. Most web hosting services will do this for you. </li></ul><ul><li>You will need a DNS setup to link your new domain name to the internet. </li></ul>
  85. 88. Delivering Data on the Web Site
  86. 89. Delivering Data on the Web Site <ul><li>Common identifiers. </li></ul><ul><li>Kinds of data. </li></ul><ul><li>Security issues. </li></ul><ul><li>Hardware needs. </li></ul><ul><li>Software needs. </li></ul><ul><li>Updating databases. </li></ul><ul><li>Querying. </li></ul>
  87. 90. Common Identifiers <ul><li>Need to develop or use a set of common identifiers for the data. </li></ul><ul><ul><li>At Henry Ford Health System, we use our Medical Record Number as the key. </li></ul></ul>
  88. 91. Kinds of Data <ul><li>Community level. </li></ul><ul><li>Encounter level. </li></ul><ul><li>Patient level. </li></ul><ul><li>Summary. </li></ul>
  89. 92. Community Level Data
  90. 93. Encounter Level Data
  91. 94. Patient Level Data
  92. 95. Summary Data
  93. 96. Security Issues <ul><li>Protect your web pages from being changed. </li></ul><ul><ul><li>Turn on security and set good passwords. </li></ul></ul><ul><li>Limit access. </li></ul><ul><ul><li>Set security for confidential documents. </li></ul></ul><ul><li>Stop viruses. </li></ul><ul><ul><li>Install antivirus program & keep updated. </li></ul></ul><ul><li>Stop attacks. </li></ul><ul><ul><li>Install latest system patches. Consider a firewall. </li></ul></ul>
  94. 97. Hardware Needs (Click Here to See a List of Products) <ul><li>Server. </li></ul><ul><li>Internet connection with a minimum speed of 128 kbs and a permanent connection. </li></ul>
  95. 98. Software Needs <ul><li>Web Serving software. </li></ul><ul><li>Database engine. </li></ul><ul><li>Scripting language. </li></ul><ul><li>Multimedia serving software. </li></ul>
  96. 99. Updating Databases <ul><li>It is possible to work on a “live” database where the data is added as patients are seen. </li></ul><ul><li>At most locations, you will need to massage the data and import it into your databases. This requires a major effort that you need to plan. </li></ul>
  97. 100. Querying <ul><li>Levels of capacity. </li></ul><ul><ul><li>Program’s normal query, customized queries. </li></ul></ul><ul><li>Query result presentation. </li></ul><ul><ul><li>Standard results, customized views, graphics. </li></ul></ul><ul><li>Interactive querying. </li></ul><ul><ul><li>automatically run queries. </li></ul></ul><ul><li>Analytic issues. </li></ul><ul><ul><li>The amount of analysis that you want to include. </li></ul></ul>
  98. 101. Customized Query Form
  99. 102. Querying <ul><li>Levels of capacity. </li></ul><ul><ul><li>Program’s normal query, customized queries. </li></ul></ul><ul><li>Query result presentation. </li></ul><ul><ul><li>Standard results, customized views, graphics. </li></ul></ul><ul><li>Interactive querying. </li></ul><ul><ul><li>automatically run queries. </li></ul></ul><ul><li>Analytic issues. </li></ul><ul><ul><li>The amount of analysis that you want to include. </li></ul></ul>
  100. 103. In Summation
  101. 104. Thanks for Visiting Us At: www.iihe.org

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